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General NPI Number Information
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NPI Number | 1770938227
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Entity Type | Organization
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Legal Business Name | THOMAS LEMIRE DC LLC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 9031 MENTOR AVE
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City | MENTOR
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State | OH
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Zip | 44060-6463
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Country | US
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Telephone | 440-255-1315
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Fax | 440-255-5832
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Provider Business Mailing Address
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Address Line | 9031 MENTOR AVE
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City | MENTOR
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State | OH
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Zip | 44060-6463
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Country | US
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Telephone | 440-255-1315
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Fax | 440-255-5832
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS LEMIRE
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Credential | D.C.
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Telephone | 440-812-6933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4057
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License Number State | OH
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